Nurse-practitioner-led mobile wound care for wound vac patients in Chesterfield — at home, in assisted living, or in skilled nursing. No clinic trip, no transportation burden.
Negative pressure wound therapy — wound vac — is one of the most effective treatments available for complex wounds meeting Medicare's Local Coverage Determination criteria, and one of the most frustrating to access through conventional channels. In-hospital NPWT setup is straightforward; getting the pump, foam, and canisters running correctly at home after discharge is where many patients and families struggle. Gateway's nurse practitioners set up, manage, and troubleshoot home wound vac therapy in Chesterfield residences and facilities — typically initiating care within 24 to 48 business hours of a referral.
Our Chesterfield wound vac patient panel covers the full range of qualifying wound types: Stage 3 and 4 pressure ulcers, dehisced surgical wounds after abdominal or orthopedic surgery, deep diabetic foot ulcers meeting LCD criteria, and complex traumatic wounds. Most referrals come from Missouri Baptist Medical Center in Town & Country, St. Luke's Hospital in Chesterfield, Mercy Rehabilitation Hospital St. Louis on N. Outer 40 Rd, and from the surgical and vascular practices whose patients live in Long Meadow Farm, Wildhorse, Baxter Village, or along Chesterfield Valley.
For facility-based Chesterfield patients at Chesterfield Villas on N. Outer 40 Rd, The Westchester House on White Rd, and Sunrise at Chesterfield on Bogey Ln, our NPs work hand-in-hand with facility nursing teams on NPWT setup, every-other-day dressing changes, pump alarm response, and discontinuation planning once the wound has responded. For home-based Chesterfield patients, we manage NPWT end-to-end — including caregiver training on pump mobility, canister changes, and when to call us — and we document wound response weekly for the physician of record. Our Medicare LCD documentation is comprehensive: prior treatment history, wound measurements, and ongoing response-to-therapy notes. Benefits verification is complete before the first Chesterfield visit.
Negative pressure wound therapy (NPWT), commonly referred to as wound vac therapy, applies controlled sub-atmospheric pressure to the wound bed through a sealed foam or gauze dressing connected to a small portable pump. The mechanism improves perfusion, reduces interstitial edema, stimulates granulation tissue formation, and physically removes exudate and infectious material. Medicare's Local Coverage Determination (LCD) defines specific qualifying wound types — Stage 3 and 4 pressure ulcers, dehisced surgical wounds, deep diabetic ulcers meeting criteria, and similar complex wounds that have failed standard therapy — and requires specific documentation including wound measurements and prior treatment failures. Gateway's NPs evaluate candidates against the LCD, initiate therapy at bedside, perform every-other-day or three-times-weekly dressing changes, troubleshoot pump alarms and seal issues, and document response to guide continuation or discontinuation.
Comprehensive eligibility review against Medicare LCD criteria, including prior treatment history, wound characteristics, and documentation requirements.
Pump placement, sealing, foam or gauze fill, and routine every-other-day dressing changes at home — no clinic trip required.
Seal failures, pump alarms, and periwound skin issues resolved at bedside. Weekly progress review; transition off NPWT once granulation and surface area thresholds met.
Missouri Baptist Medical Center, just east in Town & Country on N. Ballas Rd, is the closest major BJC hospital and a frequent source of wound-care discharges into Chesterfield homes and senior communities. St. Luke's Hospital and Mercy Rehabilitation Hospital St. Louis (on N. Outer 40 Rd) also discharge into our Chesterfield patient panel.
Chesterfield is one of the most affluent suburbs in Greater St. Louis, with a large population of active retirees and an unusually high concentration of independent living, assisted living, and memory care communities along Olive Boulevard, Wild Horse Creek Road, and N. Outer 40 Rd.
We also serve patients recovering at home in Chesterfield's neighborhoods — including Long Meadow Farm, Wildhorse, Baxter Village, Wild Horse Creek, Chesterfield Valley.
“Real patient and family testimonials from our Chesterfield service area will be published here once we complete HIPAA-compliant testimonial collection with written patient authorization.”— Gateway Wound Care, Chesterfield
Serving every address in Chesterfield, MO — ZIP codes 63005, 63006, 63017 — and throughout our 50-mile Greater St. Louis service area. View full service area.